Lap Sleeve Gastrectomy

LapSleeve has become a popular method of weight loss surgery. It has a number of advantages and comes without many of the risks and problems associated with gastric banding.

The LapSleeve procedure can easily be adapted to suit any of the other bariatric surgeries, like gastric banding or a gastric bypass, and safely performed on those unable to have gastric bypass surgery.

Key Advantages

  • minimally invasive surgery
  • short recovery time
  • no foreign object in the body
  • surgery takes approximately one hour in outpatient settings
  • safely performed on patients unable to have gastric bypass surgery
peter
PSB-Low-BMI-Video-Final-5_13_13
Puget Bariatrics

The LapSleeve procedure, otherwise known as a vertical gastrectomy or a laparoscopic sleeve gastrectomy, comes without many of the problems and risks associated with gastric banding. Puget Sound Bariatrics provides this surgery on an outpatient basis and is the only facility in the world to do so.

LapSleeve surgery reduces the size of the stomach, affecting the amount of food the patient can consume at any one time. This allows the patient to feel full sooner and eat less. The stomach’s size is reduced by removing the portion called the fundus. The fundus is the upper part of the stomach where the esophagus opens. The removal is done by vertically reshaping the stomach to form a narrow tube with reduced volume, hence the term “sleeve” gastrectomy. Because the stomach is essentially split along its length, the restriction provided is superior to that of gastric banding. Laparoscopic sleeve gastrectomies greatly reduce the patient’s urge to vomit post-surgery, which is a common after-effect of gastric banding. Scarring and pain are also minimized by the procedure and patients are able to return to their normal activities within a few days, often returning to work in less than two weeks. There are no foreign objects placed in the body with the LapSleeve procedure, resulting in less dietary restrictions since patients are not limited to low-density foods, common after having a gastric band installed. Also, there is no sensation of having an obstruction in the abdomen as often occurs with gastric bands. The rates of malabsorption of nutrients often seen with other types of bariatric surgery is greatly reduced with the LapSleeve operation. Another advantage of the laparoscopic sleeve gastrectomy is the ghrelin hormone is reduced. Ghrelin’s job is to signal hunger to the brain. Research has shown that high ghrelin often results in obesity, whereas a deficiency often brings on anorexia nervosa. With ghrelin reduced, patients will need less food to satisfy them.

Less Complex than Gastric Bypass Surgery

The LapSleeve procedure is simple, requiring only a few small incisions, making a far less complex surgery than a gastric bypass, which involves rerouting the patient’s intestines and the passage of food. The result is a rate of weight loss that is very much like those who have undergone a gastric bypass. A patient with a lower body mass may see their excess weight decrease by as much as 100% within a year of the surgery. Lower body weight means lowered risk of such obesity-related conditions as hypertension, diabetes and heart disease. Gastric sleeve procedures are not new and have been used in the past as the first part of a two-stage procedure, the second part of which would be a gastric bypass. The gastric sleeve procedure would be performed so that the patient would lose enough weight for the latter part to be safely undertaken. It has been found that in many cases the gastric sleeve operation was effective enough that the second stage was not necessary. This means that the risks of problems that may result from a gastric bypass, like ulcers and hernias, are lowered. At Puget Sound Bariatrics we have more experience with this type of surgery than any other facility, and are unique in that we provide it as an outpatient procedure, showing that it is as safe as outpatient gastric banding.